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Pregnancy is safe for breast cancer survivors: Experts

Pregnancy after breast cancer does not increase a woman’s risk of a relapse.

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Breast cancer, the most prevalent cancer among Indian women, cannot deter motherhood, if intervention takes place at the right moment, say health experts. According to them, pregnancy is possible for women survivors of breast cancer — it does not increase risk of recurrence and neither does it cause any harm to the baby.

“Yes, pregnancy is possible for breast cancer patients. Currently there is no reason or evidence to believe that becoming pregnant after treatment for breast cancer can cause any risk to the mother or the baby,” Upasna Saxena, Consultant (Radiation Oncology), at Mumbai’s HCG Cancer Centre, told IANS.

“It is possible for women to continue with their pregnancy even while diagnosed with breast cancer and take treatments tailored to the stage of their pregnancy concurrently. They can go on to deliver healthy babies,” added Kanchan Kaur, Associate Director, Cancer Institute at Medanta in Gurugram.

However, for some even “natural pregnancy is possible,” Kaur stated.

In a striking case from the hospital, Paula, 33, from Rwanda, conceived naturally and delivered a healthy baby five years after she was diagnosed with breast cancer, the doctor said.

Paula was at high risk of developing breast and ovarian cancer in 2013. She completed four years of hormone blockade treatment, which blocks the action of Estrogen Receptor (ER) on breast cancer cells. Pregnancy is not advisable whilst on this treatment.

Although she had her eggs frozen before she started her chemotherapy, she conceived naturally and delivered a healthy baby after the treatment stopped.

In another case from HCG, a patient who was diagnosed with breast cancer at the age of 27 and treated in 2007 opted for breast conservation, against a full masectomy — and delivered a healthy baby boy in 2013.

“Previously, there were concerns over increased risk of cancer recurrence in women who contemplate pregnancy, but it’s good news that studies show no such higher risk in women who conceive as compared to women who do not conceive,” Saxena said.

In yet another case, also from HCG, a patient treated for breast cancer in her late 30s conceived and delivered a healthy baby — but 2.5 years after her treatment. She had a history of seven miscarriages.

“However, it is not a blanket statement for all breast cancer patients. It depends on the age of the patient. And while deciding about pregnancy, it is important to consider and talk to the patient about her age, family size and type of breast cancer (aggressiveness and risk of recurrence),” Saxena noted.

According to a report from the Indian Council of Medical Research (ICMR), India had 14 lakh cancer patients in 2016 and this number is expected to increase.

“Breast cancer is currently the most common cancer among Indian women, both in terms of incidence as well as mortality, with proportional prevalence in younger age-groups being higher than the global average.”

“The age standardised rate is approximately 25.8 per one lakh women and is expected to rise to 35 per one lakh women in 2026,” the report stated.

Pregnancy after breast cancer does not increase a woman’s risk of a relapse.

According to the American Cancer Society, surgery for breast cancer is generally safe in pregnancy while chemotherapy seems to be safe for the baby only if given in the second or third trimester of pregnancy, not in the first trimester.

Other breast cancer treatments, such as hormone therapy, targeted therapy and radiation therapy, are more likely to harm the baby and are usually shunned during pregnancy.

“The risk could be the need for caesarean section, premature baby and low birth weight baby (vis-a-vis women with no history of breast cancer treatment),” Saxena said.

“There is, by no means, any increase in the chances of birth defects or deformities in the baby or increased risk of cancer in the baby (unless it is a cancer due to genetic mutation which can be transmitted to the baby).

“There may be difficulty in breast-feeding post surgery and radiation, but it is still possible with probable lower milk production on the treated side,” Saxena explained.

However, it would be advisable to wait for two years post-treatment to check for an early recurrence.

Kaur suggested that young women diagnosed with breast cancer need to be made aware about the methods to preserve fertility prior to starting treatment.

“Their ova (eggs) can be harvested (as is done for patients undergoing IVF) and preserved for future implantation either in the treated patient or a surrogate,” she explained.

(Rachel V. Thomas can be contacted at [email protected] )

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FM Sitharaman may push for Rs 30K cr interim dividend from RBI to meet low revenue generation, slowdown

The government is fighting a six year low growth, subdued demand and consumption leading to projections of 5 per cent growth in current fiscal which is an 11 year drop.

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RBI governor Shaktikanta Das and FM Nirmala Sitharaman RBI governor Shaktikanta Das and FM Nirmala Sitharaman and at the post-Budget meeting (Picture Credit DNA)

The Finance Ministry is likely to push for Rs 25,000-30,000 crore interim dividend from RBI, for the third time in a row, to check slippages in the fiscal deficit of 3.3 per cent in 2019-20.

The central bank and government may touch upon the issue when Finance Minister Nirmala Sitharaman will meet RBI Governor Shaktikanta Das at post Budget Vision customary meeting.

Government has a Budget estimate of Rs 90,000 crore dividend from RBI in FY20. RBI follows a fiscal of July-June. The interim dividend of the RBI’s total dividend for 2019-20 (July-June) can help the government check 3.3 per cent fiscal deficit target slippage.

In the past RBI has paid a total Rs 38,000 crore as interim dividend (Rs 28,000 crore in FY19 and Rs 10,000 crore in FY18).

“If the RBI board recommends, then it will be the third time when interim payout will be given to the government,” said sources.

The central bank had paid Rs 28,000 crore as interim dividend from its 2018-19 fiscal accounts (July-June) in February, which helped the government contain deficit at 3.4 per cent in the last fiscal.

The Reserve Bank follows July-June financial year and usually distributes the dividend in August after annual accounts are finalised and interim dividends if any, they are given around February to the government.

Seeking interim dividends are not common. The Bimal Jalan-led committee on the RBI’s economic capital framework recommended in August that an interim dividend should be paid to the government only in “exceptional circumstances”.

The Finance Ministry’s contention is that this year has “exceptional circumstances” because of the slowdown, low revenue generation and outgo of Rs 1.45 lakh crore due to corporate tax cuts.

For 2018-19 (July-June), the RBI transferred a total of Rs 1.76 trillion to the central government, including a one-time transfer of Rs 52,637 crore which was deemed as excess reserves and comprising Rs 1,23,414 crore of surplus for the year 2018-19.

The government is fighting a six year low growth, subdued demand and consumption leading to projections of 5 per cent growth in current fiscal which is an 11 year drop.

On Monday, the International Monetary Fund (IMF) slashed India’s FY20 growth forecast to 4.8 per cent, besides trimming global outlook and said India’s slow growth is dragging down the world economy.

The Finance Ministry might seek the interim dividend from the RBI to meet some of the financial pressure due to the low revenue generation from taxes and disinvestment and slowdown, said the sources.

The RBI largely earns profits on its trading of currencies and government bonds. Part of these earnings are set aside by the RBI for its operational and contingency needs while the rest is transferred to the government in the form of dividends.

The Union Budget 2019-20 had pegged dividend or surplus of the RBI, nationalised banks and financial institutions at Rs 1.06 lakh crore up from Rs 74,140.37 crore realised in the previous fiscal.

(Anjana Das can be contacted at [email protected])

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31% Goa IT workers battle hypertension, 40% overweight: Study

“Thirty seven (31.4 per cent) had hypertension, 50 (42.4 per cent) suffered from pre-hypertension… 13 (11.2 per cent) had diabetes mellitus and three (2.5 per cent) blood sugar in pre-diabetic range,” the study noted.

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Panaji, Jan 20 : Nearly 31 per cent of the IT sector workforce in Goa suffers from hypertension whereas more than 40 per cent are either overweight or obese, a cross-sectional study of IT professionals working in the coastal state has revealed.

“A majority of the 118 surveyed employees — 63 (53.4 per cent) — had normal range body mass index, seven (5.9 per cent ) were underweight, 40 (33.9 per cent) overweight, six (5.1 per cent) class I obesity and two (1.7 per cent ) class II obesity,” the study by Preksha P Vernekar, Kalyani and Jagadish A Cacodcar said.

“Thirty seven (31.4 per cent) had hypertension, 50 (42.4 per cent) suffered from pre-hypertension… 13 (11.2 per cent) had diabetes mellitus and three (2.5 per cent) blood sugar in pre-diabetic range,” the study noted.

“A significant prevalence of lifestyle diseases is noticed among the participants in the study. Lifestyle diseases like hypertension, diabetes, dyslipidaemia and overweight/obesity are major risk factors for the development of cardiovascular disease,” as per the study published in the Epidemiology International journal.

Considerable pre-hypertension cases raised concern over possible cardiovascular morbidities along with complications in due course of time, the research paper’s authors pointed out.

The study data was collected from health records of 118 IT professionals working in four top Information Technology firms in Goa, whose government is pitching the coastal state as a destination for IT start-ups.

The study authors, all medical professionals working at the state’s top government-run medical facility, also underlined the need for periodic health checkups to ensure timely detection and early management of health problems.

“The companies should have mandatory periodic health check-ups of their employees, preferably at their health centres, to gain better insight into their general health status.

“Pre-placement examination of employees is must to know their working capacity so as to ensure ergonomics as well as to procure first-hand knowledge on health problems workers may be suffering from before employment,” the study recommended.

The study suggested the introduction of stress-busting modules in the IT work space to ensure better physical and mental health of staff, which ensured better performance by the workforce.

“Health education on diet, physical activity and relaxation techniques such as yoga and meditation can be imparted to employees. These steps will finally improve their performance and in turn lead to decreased incidence of morbidities, absenteeism due to sickness and job stress, thereby leading to optimum work output,” the study said.

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BJP denies tickets to 3-time MLA Kulwant Rana, 25 others

Rana became the youngest candidate to win the elections in 2003, while he retained his seat from Rithala constituency in 2008 and 2013 too.

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New Delhi, Jan 17 : The Bharatiya Janata Party (BJP) on Friday announced the first list of candidates for the Delhi Assembly elections to be held on February 8.

In its first list, the party announced 57 candidates while it denied tickets to 26 leaders, including former state vice president and three time MLA Kulwant Rana.

Rana became the youngest candidate to win the elections in 2003, while he retained his seat from Rithala constituency in 2008 and 2013 too.

The BJP has still not announced its candidates for 13 seats, including New Delhi, Mehrauli and Sangam Vihar.

The party has fielded Manish Chaudhary in place of Rana from Rithala. Sources said the party denied a ticket to Rana as he was involved in some controversies.

Similarly, Rajni Abbi has been replaced by Surendra Singh Bittu in Timarpur, while Rajesh Yadav from Badli, Gugan Singh Ranga from Bawana, Prabhu Dayal from Sultanpur Majra, Surjeet from Mangolpuri and Nandkishor from Trinagar have not been given tickets for the upcoming Assembly polls.

The party has also denied the ticket to Vivek Garg, who lost the elections in 2015 from the Model Town seat, and fielded former AAP Minister Kapil Mishra, who joined the BJP after quitting AAP.

The party has also denied tickets to Praveen Jain from Sadar Bazar, Shyam Lal from Ballimaran, B.B. Tyagi from Laxmi Nagar, Jitendra Chaudhary from Gandhi Nagar, Sanjay Jain from Seelampur, Ajay Mahawat from Ghonda and Krishna Teerath from Patel Nagar.

The party has also changed the candidates in Janakpuri, Uttam Nagar, Palam, Jangpura, Malviya Nagar, Ambedkar Nagar, Greater Kailash, Kondli and Patparganj.

(Navneet Mishra can be reached at [email protected])

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